Delivery of your ICS Joint Forward Plan (JFP) Duties

ECLIPSE enables The Delivery of your ICS Joint Forward Plan Duties Through:

Population Health

Evaluate your regions outcomes using the most advanced population health analytics system within the UK market. Able to evaluate all of your key performance metrics and identify priority projects for equality, safety and admissions avoidance.

“The JFP provides an opportunity to set out how the ICB and its partner trusts are supporting the implementation of a population health management (PHM) approach that puts data-driven decisions at the centre of the transformation of health and care services. The JFP presents a valuable opportunity for all levels of the system to build on existing ways of working to better use data and insights to identify, understand and mitigate the causes of health inequalities in communities through the development of preventative population-based care model design.”

Health Of the Nation will:

Create an integrated, person-level linked data system that connects health, care, and other partners in a secure manner, ensuring clear access controls through cross-system information governance arrangements.

Establish an intelligence function across Integrated Care Systems (ICS), supported by a unified analytical platform that can perform sophisticated data and analytical techniques. This includes population segmentation, risk stratification, and financial risk modelling.

Provide population health insights and analytical support to local ICS decision-making, integrated neighbourhood teams, and place-based decision-making .

Integration

PROTECT Pathways provide a complete clinical project solution within a centrally-led digital platform. It is specifically designed to remove work from individual practices by enabling central patient identification, direct web-based patient engagement, remote healthcare professional review capability and automated patient calls to action.

“JFPs must set out how ICBs intend to discharge their statutory duty to provide health services in an integrated way, including with other health-related services or social care services. The JFP should explain how this will improve the quality of services and reduce inequalities in access and outcomes.

Each ICB’s health landscape will be different, as will their journey and development with respect to integrated services across both operational and organisational boundaries. There is no current specific or defined legal minimum requirement or threshold for the JFP to describe that meets the expectations of this duty. Each ICB’s plan should draw on their experiences, vision, and circumstance to explain how they will address these aims.”

ECLPISE PROTECT will:

Promote integrated care between healthcare and social care services. Prioritising discharge-to-assess programs, community services, reablement, and initiatives that help prevent hospital admissions.

Collaborate with NHS and adult social care services to offer joined up care and support residents in the region. This may involve implementing:

  • Collaborative strategies for integrated neighbourhood teams.

  • Community-based assistance that fosters self-sufficiency, and connects individuals to housing and homelessness services.

  • Technological solutions that facilitate personalised care and enhance the quality of life in a home environment.

  • Workforce recruitment and retention through integrated services.

Wider Decision Making Insight

The ECLIPSE Insight pathways interface has been specifically designed for local healthcare regions to enable effective validation of implementations. It provides NHS organisations with a highly focused and effective population health insight tool.

“JFPs must set out how ICBs intend to discharge their duty to have regard to the wider effect of decisions made about the provision of health and care. Known as the ‘triple aim’, the duty aims to foster partnership working, with local health and care organisations working collaboratively in the interests of the populations they serve.

NHS England, ICBs and their partner NHS trusts and foundation trusts must have regard to the effects of their decision-making on three aspects:

i. The health and wellbeing of the people of England.
ii. The quality of services provided.
iii. The efficiency and sustainability of use of resources both for local systems and for the wider NHS.

As part of this, organisations must consider the effects of their decision-making on inequalities in health and wellbeing and the benefits of services.”

ECLIPSE INSIGHT will:

Quality of services

  • Identify opportunities that reflect system intelligence address risks and concerns.

  • Include both process and outcome measures to demonstrate successful and consistent delivery.

  • Go beyond performance metrics, focusing on outcomes and preventing ill-health. Ensure that the Core20PLUS5 approach is used to consider inequalities.

The health and wellbeing of the people of England

  • Deliver improvements in population health opportunities outlined in integrated care strategies and joint local health and wellbeing strategies.

Efficiency and sustainability of services

  • Enable NHS services to become more efficient in line with obligations to achieve financial balance throughout the local health and care system.

  • Ensure service sustainability

Supporting Financial Duties

The system automatically identifies your region’s biggest impact medication optimisations for cost-savings.

Looking at over 1000 clinical pathways and 250 cost-effective switches for each patient, surgery, PCN and ICS to identify where clinical resources would best be utilised.

“There is collective local accountability and responsibility for delivering system and ICB financial balance. The Health and Care Act includes provisions which are designed to ensure that ICBs and trusts are collectively held responsible for their use of revenue and capital resources”

BOOMERANG aims to:

Enable ICBs to achieve financial equilibrium.

Give insight of local capital and revenue resources.

Improving Quality of Services

Population risk optimisation through ECLIPSE clinical triage. VISTA Pathways are all about delivering value for the NHS through effective population health management.

“JFPs must set out how ICBs intend to discharge their duty to continually improve the quality of care and outcomes. They provide an opportunity for ICBs and their partner trusts and foundation trusts to set out how they will achieve this underpinned by:

  • realistic five-year quality objectives that are based on data and intelligence, and address both current risks and strategic aims

  • clearly defined metrics that enable ICBs to assure themselves that planned improvements are being delivered and sustained.

Quality priorities and metrics should focus on the outcomes of effectiveness, safety and experience of care, and not just the processes of care and treatment. They should include prevention of ill health and inequalities. The Core20PLUS5 approach has been designed with this in mind will be a helpful framework for systems to adopt.”

VISTA will:

Inform clinical and care professional leadership

Enable collaborative efforts with service users, the public, and staff to ensure co-production.

Measure quality and safety that informs board-level decision-making and facilitates the management of quality risks.

Integrate quality improvement, planning, control, and assurance functions to develop a clear, population-focused vision informing strategy for quality improvement.

Report system-level quality indicators and complementary place and neighbourhood-level quality metrics to drive service improvement.

Improve availability of quality information.

Improve governance and escalation for quality oversight of NHS-commissioned services and those jointly commissioned by the NHS and local authorities, linked to regional quality oversight.

Enable sharing intelligence on quality and safety on a regular basis.

Reducing Inequalities

Patient Equality Governance Actively Supporting the Use of Services.

This project is completely aligned to NHS England CORE20PLUS5 programme. All of our reporting includes deprivation, mental health, BAME, learning disabilities and frailty filters as standard.

“JFPs must set out how ICBs intend to discharge their duty in relation to health inequalities including how this will reduce inequalities in access, experience and outcomes. ICBs and partner NHS trusts and foundation trusts may also wish to describe how the implications for health inequalities have informed the choices and decisions being made across the system. A dedicated health inequalities plan, developed within the overarching JFP, will support ICBs in fulfilling their health inequalities duties under the Health and Care Act 2022.

ICBs and partner NHS trusts and foundation trusts are encouraged to describe in their JPFs how they will address the five strategic priorities for healthcare inequalities improvement as set out in the 21/22 NHS Operational Planning Guidance and Core20PLUS5”

EQAULITY PROTECT will:

Local population data is will be utilised to pinpoint the requirements of communities that are facing disparities in terms of access, experience, and outcomes.

Address health inequalities by enabling quality improvement strategies.

Use perspectives of individuals and communities to help inform the decision-making process and guide the implementation of methods such as appreciative inquiry, asset-based community development, and co-production to revamp services, ensuring they cater to the requirements of the most marginalized 20% of the population and other vulnerable groups, and subsequently reduce health inequalities.

Facilitate performance reporting and tracking of advancements made towards reducing these inequalities.

The unique requirements of children and young people are taken into account, reflecting the Core20PLUS5 approach which aims to lessen health inequalities amongst this demographic.

Patient Engagement

Award winning patient engagement platform for effective and impactful support of vulnerable patient groups.

Patient Support Services, Patient Portals, Patient Apps and Feedback.

ECLIPSE PEGASUS will:

Promote involvement of each patient

Involve the public in there own healthcare

Enable increased patient choice

Obtaining Appropriate Advice

The system allows for Prioritisation of Services in relation to high PRISM score.

The System reduces inequality of care, improves efficiency of medical services and reduces patient complications.

The system can be continually automatically refined through increasing data feeds.

“JFPs must set out how ICBs intend to discharge their duty to obtain appropriate advice from persons who (taken together) have a broad range of professional expertise in

a. the prevention, diagnosis or treatment of illness, and:

b. the protection or improvement of public health.

The JFP provides an opportunity to set out how the ICB and its partner NHS trusts and foundation trusts will seek any expert advice they require, including through formal governance arrangements and broader engagement.”


ECLIPSE Virtual Hubs will:

Integrate public health expertise in system-wide strategy development and implementation, it is crucial to collaborate with relevant local and regional directors of public health, as well as regional directors of primary care and public health commissioning.

Identify required expert advice and formulate a clear strategy for seeking it.

Promoting Innovation

ECLIPSE (Equality of Care Led Innovation for Patient Safety & Engagement) is increasingly recognised as a class leading integrated care solution.

“JFPs must set out how ICBs intend to discharge their duty to promote innovation. They provide an opportunity to plan for how the ICB and its partner NHS trusts and foundation trusts will work with wider partners in health and social care, including academic health science networks (AHSNs) to:

  • advance innovation and promote local adoption and spread over the next five years, including medicines, medical technologies, diagnostics, digital and artificial intelligence

  • ensure people have equitable and widespread access to proven innovations which proactively address and reduce inequalities in care experience and outcomes

  • scale cost-effective or cost-saving innovation across health and care, enhancing productivity and value for money

  • drive economic development through ideas and solutions which have commercial potential, and the development of products and services by industry partners through access to expertise and markets that exist in the NHS, social care and the wider local system.”

ECLIPSE will:

Innovate to address unmet needs

Engage with individuals, communities, and relevant local stakeholders to pinpoint areas where innovation is necessary and help identify the most pressing priorities.

Collaborate with various partners to advance innovation, such as AHSNs, the voluntary, community and social enterprise sector, innovators and industry, and patients and the general public.

Utilise findings from horizon scanning to help guide decisions on commissioning and the adoption of innovative approaches.

Establish any additional functions needed to fulfill the responsibility of promoting innovation, based on local priorities and arrangements.

Promoting Research

Ensuring that ICSs have the keys to the local patient research database will enable them to be more active partner in local research projects.

“JFPs must set out how ICBs intend to discharge their duty to promote research. The Life Sciences Vision and National Clinical Research Vision (Saving and Improving Lives: The Future of UK Clinical Research Delivery) set out the health sector’s collective commitment across the UK government, the NHS, regulators, industry and the third sector to create a pro-research health and care environment.

The JFP provides an opportunity to plan for how the ICB and its partner trusts will work with wider partners in the health and care sector to advance research in support of the four core purposes of an ICS”

ECLIPSE SCHOLAR will:

Enabling involvement with patients and the general public from all communities

Encourage all members of staff who are interested in engaging in research activities to participate, and collaborating with higher education institutions and/or conducting both commercial and non-commercial research together.

Work in partnership with local research infrastructure and relevant stakeholders, including industry where relevant, to ensure that research conducted within local systems addresses the health and care priorities of ICBs (Integrated Care Boards).

Employ a systematic approach to utilise research-generated evidence, ensuring its accessibility to decision makers.

Promoting Education & Training

Through the provision of a web based patient portal and the implementation of positive support, education and feedback tools patients can easily be engaged in their health and well-being.

“JFPs must set out how ICBs intend to discharge their duty in relation to education and training. The JFP provides an opportunity to articulate how education and training plans relate to wider actions in their workforce plans to deliver the recovery, reform, and resilience of services in the short (1-2 years), medium (3-5 years) and long-term, informed by:

  • workforce planning at organisational, system and national level

  • the known education supply pipeline

  • the service capacity and design and use plans.”

DOTTIE will:

Explore new roles and innovative ways of working that align with the evolving landscape of healthcare.

Focus on expanding participation and inclusivity, while being culturally sensitive and promoting an environment that is conducive to learning.

Utilise the influential role of anchor institutions in establishing and maintaining inclusive and diverse pathways into education, training, and work and develop pathways. Aiming to ensure a sustainable, steady and diverse workforce, which accurately reflects the communities served.

The system will collaborate to optimise the value of the education tariff and guarantee the delivery of high-quality educational services.

Mitigating the Impact of Climate Change

Delivering Your ICS Green Agenda through Deprescribing of Medicines, Remote Support of Patients Inhaler Optimisation, Inhaler Optimisation, Patient Self-management, 360° Care, Adopting Best Practice, Proactive Support of Vulnerable Patients and Patient Tree Planting Partnership Programme

“JFPs must set out how ICBs intend to discharge their duty in relation to mitigating the impact of Climate change. The JFP should describe how the ICB and its partner trusts will deliver against the targets and actions in the Delivering a Net Zero NHS report.

It provides an opportunity to integrate existing ambitions described in the ICS Green Plan into a system-wide delivery plan to cut emissions across the breadth of health and social care over the next five years.

To that end, ICBs may wish to draw out in their JFP the key aspects of their respective green plans which highlight where cross-sector working is expected to deliver tangible reductions in emissions and support delivery against the four core purposes of an ICS. ”

CARBON PROTECT will:

Supporting the design and implementation of initiatives that reduce carbon emissions and address wider sustainability objectives.

Help ICSs achieve the key national targets, including the interim goal of an 80% reduction in carbon emissions, for both the NHS Carbon Footprint and NHS Carbon Footprint Plus.

Identify carbon reduction opportunities across all clinical services

Utilise the possibilities offered this digital transformation service to simplify service delivery and supporting operations, enhance the efficient utilisation of resources, and decrease carbon emissions.

Addressing the Needs of Children & Young People

Through the provision of a web based patient portal and the implementation of positive support, education and feedback tools patients can easily be engaged in their health and well-being.

“JFPs must set out the steps ICBs intend to take to address the specific needs of children and young people. The JFP provides an opportunity to set out how the physical and mental health of children and young people will be improved by joining up services within the NHS and across public health, social care and education over the next five years. It is also an opportunity to set out how inequalities will be tackled and improvements will be targeted across different groups of children and young people.

Children and young people make up 25% of the population in some areas, therefore the potential scope of this section is wide. It should cover both physical and mental health, as well as different population groups, settings and health conditions. It is important that the plan includes insights from children, young people, families and carers, by gathering their voices and pools relevant data and insights.”

ECLIPSE CYP will:

Enable safeguarding children in care, those with special education needs and disabilities.

Support the organisation of children's tertiary, secondary, community, and primary services across the geography, patient flows for specialised services crossing into other ICBs, and the transition to adult services. A life course approach can be taken, aligning plans for adults that link closely with the children and young people elements of an integrated care strategy.

Enable Child health to go beyond the NHS, through a population approach considering public health, education, children's social care, and broader health considerations.

Ensure the involvement of key partners, children, young people, families, and carers in service development.

Digital Transformation

Centralised patient database analysed for efficient deployment of healthcare resources to reduce reversible risk through standardised clinical pathways and dynamic patient portals

“Digital transformation is an integral part of ICS planning. The JFP is an opportunity to set out how the local system will digitise services, connect them to support integration and, through these foundations, enable service transformation. This will enable new ways of working that can increase efficiency, improve patient experience and outcomes, plus reduce workforce burdens, and help to address health inequalities. ”

ECLIPSE Live will:

Establish a suitable data architecture for the purpose of planning and managing population health that meets the standards for privacy and accessibility. In order to facilitate this, NHS England will oversee the development of a Federated Data Platform that will be accessible to all Integrated Care Systems (ICSs). The platform will feature nationally developed tools to help optimize capacity, decrease waiting lists, and facilitate coordinated care.

Collaborate with acute care, community care, mental health, and ambulance service providers to ensure a fundamental level of digital transformation, which includes implementing electronic record systems.

Identify carbon reduction opportunities across all clinical services

Utilise the possibilities offered this digital transformation service to simplify service delivery and supporting operations, enhance the efficient utilisation of resources, and decrease carbon emissions.